Compliance Archives

Defend Your Healthcare Organization with the AI Cyber Governance Framework

By Michael Shaughnessy

In Compliance

Jul 13th, 2026

2 Comments

Does an AI incident response plan differ from a cybersecurity one? On June 1, 2026, the Health Sector Coordinating Council (HSCC) Cybersecurity Working Group (CWG) issued the “Health Industry AI Cyber Governance Framework Implementation Guide.” The guide is designed to assist healthcare organizations put together cyber governance frameworks to implement artificial intelligence (AI) securely. “The ...

Spotlight on 2026 Medicare Policy Changes

By Renee Dustman

In Billing

Jan 6th, 2026

3 Comments

A new year always means policy changes in healthcare. In 2026, as in past years, there are changes to medical coding, payer policies, fee schedules, federal regulations, and just about everything else. Here are highlights of several pertinent changes that will affect Medicare-enrolled providers this year. Key Changes for 2026 In a letter to providers, ...

Plan for Compliance in 2026

By Stephanie Tam

In Audit

Jan 2nd, 2026

No Comments

Start the new year right by identifying your organization’s risk of an audit, or worse. Since 1998, the Office of Inspector General (OIG) has developed voluntary, nonbinding compliance program guidance documents (CPGs) to support healthcare industry stakeholders in their efforts to self-monitor their compliance with applicable laws and program requirements. CPGs have served as important ...

The Importance of Auditors in Medical Coding

By Sivaraj Ramesh

In Audit

Jan 2nd, 2026

No Comments

Auditors are imperative to mitigating risk, upholding compliance, and guarding revenue integrity. A single coding mistake in the healthcare sector can cost an organization millions, initiate audits, or incur regulatory fines. Medical coding auditors are at the heart of compliance and serve as the first line of defense against these setbacks. They ensure that every claim ...

The Power of Effective Monitoring

By Monteal Martin

In Audit

Jan 2nd, 2026

No Comments

Letting this area of your compliance program fall by the wayside will cost you. The healthcare industry is one of the most regulated industries in the United States, making it a high-stakes environment for both medical providers and organizations. While all compliance professionals are familiar with the seven key elements of a compliance program, auditing ...